gms | German Medical Science

27. Wissenschaftlicher Kongress der Deutschen Hochdruckliga

Deutsche Liga zur Bekämpfung des hohen Blutdrucks – Deutsche Hypertonie Gesellschaft e. V.

26. bis 29.11.2003, Bonn

Blood pressure response during abpm and exercise and cardiac alterations

Blutdruck während ABDM und Ergometrie und Anpassugen des Herzens

Meeting Abstract (Hypertonie 2003)

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  • presenting/speaker I.W. Franz - Klinik Wehrawald der BfA (Todtmoos, D)
  • J.F.M. Müller - Klinik Wehrawald der BfA (Todtmoos, D)

Hypertonie 2003. 27. Wissenschaftlicher Kongress der Deutschen Hochdruckliga. Bonn, 26.-29.11.2003. Düsseldorf, Köln: German Medical Science; 2004. Doc03hochP63

The electronic version of this article is the complete one and can be found online at:

Published: November 11, 2004

© 2004 Franz et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




Some studies with a small sample size suggested that left ventricular mass index (LVMI) is more closely related to ambulatory blood pressure (ABPM) or exercise BP (ExBP) than to resting/casual BP.


In 1142 untreated patients (mean age 50.0±9.2 y., 567 males) an ABPM (SpaceLabs 90207), a bicycle exercise test (50-100watts, 5 min recovery period) and an echocardiography were performed within a 48 h period and thereafter the patients were divided into 4 groups (G1-4; [Fig. 1]) due to their BP response.


Despite a normotensive daytime BP during ABPM, patients of G2 with an increased ExBP (ExBP+, >200/>100 mmHg at 100 watts) revealed significantly (p<0.05 - p<0.001) higher values for LVMI, wall thickness (IVS, PWT) left ventricular enddiastolic dimension (LVID), left atrial size (LA) and a disturbed diastolic function (E/A<1) compared to G1 (normal ExBP, ExBP-) and comparable values to G3 (daytime ABPM hypertensive >135/85, EXBP-).


These data suggest that exercise BP may be an important determinant for cardiac alterations even in patients with a normotensive response during ABPM.